A child is being cared for following a head injury. Which of the following findings should indicate to the healthcare provider that the child is developing diabetes insipidus?
- A. Urine specific gravity of 1.045
- B. Sodium level of 155
- C. Blood glucose level of 45
- D. Urine output of 35 ml per hour
Correct Answer: B
Rationale: In a child with a head injury, the development of diabetes insipidus can occur due to pituitary hypofunction, leading to a deficiency of antidiuretic hormone. An elevated sodium level (hypernatremia) is a key finding in diabetes insipidus due to the excessive loss of free water in the urine, resulting in increased sodium concentration in the blood.
You may also like to solve these questions
In Langerhans cell histiocytosis (LCH), which organ is LEAST likely affected?
- A. skin
- B. ear
- C. bone
- D. middle nodes
Correct Answer: E
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When teaching an adolescent about managing tinea pedis, which statement indicates an understanding of the teaching?
- A. I should buy some plastic shoes to wear at the swimming pool
- B. I should wear sandals as much as possible
- C. I should place the permethrin cream between my toes twice daily
- D. I should seal my non-washable shoes in plastic bags for a couple of weeks
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A pediatric client is admitted to the emergency department with a traumatic brain injury (TBI) that caused a loss of consciousness. The last set of vital signs showed heart rate 48, blood pressure (BP) 148/74 mmHg, respiratory rate 28 and irregular. What does the nurse suspect based on these data?
- A. Spinal cord injury
- B. Increased intracranial pressure
- C. Typical for sleep
- D. Improvement
Correct Answer: B
Rationale: The vital signs of bradycardia, hypertension, and irregular respirations indicate increased intracranial pressure. Bradycardia (heart rate of 48), hypertension (blood pressure of 148/74 mmHg), and irregular respirations are typical signs of increased intracranial pressure in a pediatric client with a traumatic brain injury and loss of consciousness.
According to the Health Insurance Portability and Accountability Act, a healthcare facility may release patient information without obtaining permission from the patient or family when there is a request from a:
- A. consulting physician to evaluate the patient.
- B. lawyer regarding a child abuse case.
- C. school nurse to update the school records.
- D. teacher regarding behavioral issues.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child is being assessed for Kawasaki disease. Which of the following findings should be expected?
- A. Decreased heart rate
- B. Dry, scaly skin
- C. Fever unresponsive to antipyretics
- D. Nontender cervical lymphadenopathy
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.